AM glad i found this thread, thanks for the link.
This has been in discussion for a couple days now at my hospital. The concept sounds good, but there are still a lot of questions that need to be adressed.
For instance... if you have 20 patients on a unit. The staff mix is (per matrix) 2RN's, 2LPN's and 3 CNA's. If mandatory ratios are implemented it is basically only cutting up the assigned patients differently. STaffing numbers will still be the same. The only difference is an LPN will have her own assigned patients, with the RN ultimately responsible for that LPN's patients too. So divided up each "staff" would have 5 patients. Only now the RN is responsible to do her own dressings and oral meds for 5 of those patients along with assessments of the rest of that team. Because in acute care settings LPn's dont do head/toe assessments. At least as far as i know the RN has to sign off on any of that.
UHGGG,,, not sure if this would be a good thing. Juries still out for me i think.